Optima Health Plan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OPTIMA HEALTH PLAN

Practice address

10800 Nuckols Rd
Glen Allen, VA 23060-6207

Phone

(804) 613-3940

Fax

(757) 440-3277

NPI assigned

Jan 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doris Prince

Title

Director

Phone

(175) 798-3547

Specialties & licenses 4

Addresses

Other names 1

• SENTARA COMMUNITY CARE CENTER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Optima Health Plan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Optima Health Plan

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1053170167
  NPD tax ID
• Optima Health Plan

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1083336150
  NPD tax ID
• Optima Health Plan

  • Family Medicine Physician
  • Harrisonburg, VA
  • NPI 1316652696
  NPD tax ID
• Optima Health Plan

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1396466066
  NPD tax ID
• Optima Health Plan

  • Family Medicine Physician
  • Rockingham, VA
  • NPI 1821793381
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherika Adrian Jones, FNP

  • Family Nurse Practitioner
  • Glen Allen, VA
  • NPI 1891234886
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1437864709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 NUCKOLS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606207",
            "telephone_number": "804-613-3940",
            "fax_number": "757-440-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 NUCKOLS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606207",
            "telephone_number": "804-613-3940",
            "fax_number": "757-440-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191001",
            "country_code": "US",
            "telephone_number": "804-613-3940",
            "fax_number": "757-440-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9701 Route 1",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232374666",
            "country_code": "US",
            "telephone_number": "804-613-3940",
            "fax_number": "757-440-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Route 1",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232342246",
            "country_code": "US",
            "telephone_number": "804-613-3940",
            "fax_number": "757-440-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMA HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "175-798-3547"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTARA COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SENTARA COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaveh Ofogh, M.D
• Laura Beth Olliff, MAPC
• Mugahid Osman Omar
• Omega Sleep Disorders and Diagnositic Center LLC
• Baiden Opoku
• Robin Orton
• Olabisi Oyetokunbo Oshikanlu, MD
• Adeyinka R Ososanya, APRN
• Susan Golda Osullivan, MD
• Our Renewed Purpose LLC

• Family Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.